1
EVOLVE HESI PEDS PRACTICE QUESTIONS
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
QUESTION: A 6-month-old infant with congestive heart failure (CHF)
is receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute.
Ans: Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants
immediate intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM
when awake, and a rate of 70 while sleeping is considered within normal limits. (B
and C) are expected symptoms of heart failure in an infant. (D) is within normal
limits for an infant.
QUESTION: The nurse is teaching the parents of a 5-year-old with
cystic fibrosis about respiratory treatments. Which statement
indicates to the nurse that the parents understand?
Master01 | Dec, 2024/2025 | Latest update
, 2
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before
meals.
Ensure respiratory therapy is done daily during any respiratory
infection.
Ans: Administer aerosol therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed
after nebulization and before meals (C) or at least 1 hour after eating to prevent
nausea and vomiting. Postural drainage uses gravity to promote mucous removal
after nebulization (A) treatments which open the airways. Pulmonary toileting or
respiratory treatments should be given 3 to 4 times daily, not episodically (B and
D).
QUESTION: A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most important
instruction for the nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Master01 | Dec, 2024/2025 | Latest update
, 3
Menstrual periods may become irregular.
Ans: Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
QUESTION: What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting.
Ans: Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic
sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to the potential
for aspiration with frequent vomiting.
Master01 | Dec, 2024/2025 | Latest update
, 4
QUESTION: An infant is born with a ventricular septal defect (VSD)
and surgery is planned to correct the defect. The nurse recognizes
that surgical correction is designed to achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing
Ans: Prevent the return of oxygenated blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left
ventricle to the right ventricle (C). VSDs are acyanotic defects, which means that
no unoxygenated blood enters the systemic circulation (A and B). (D) is common
with Tetrology of Fallot, which is a cyanotic defect.
QUESTION: A 3-week-old newborn is brought to the clinic for follow-
up after a home birth. The mother reports that her child bottle
feeds for 5 minutes only and then falls asleep. The nurse
auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory
rate of 64 breaths per minute. What instruction should the nurse
Master01 | Dec, 2024/2025 | Latest update
EVOLVE HESI PEDS PRACTICE QUESTIONS
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
QUESTION: A 6-month-old infant with congestive heart failure (CHF)
is receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute.
Ans: Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants
immediate intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM
when awake, and a rate of 70 while sleeping is considered within normal limits. (B
and C) are expected symptoms of heart failure in an infant. (D) is within normal
limits for an infant.
QUESTION: The nurse is teaching the parents of a 5-year-old with
cystic fibrosis about respiratory treatments. Which statement
indicates to the nurse that the parents understand?
Master01 | Dec, 2024/2025 | Latest update
, 2
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before
meals.
Ensure respiratory therapy is done daily during any respiratory
infection.
Ans: Administer aerosol therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed
after nebulization and before meals (C) or at least 1 hour after eating to prevent
nausea and vomiting. Postural drainage uses gravity to promote mucous removal
after nebulization (A) treatments which open the airways. Pulmonary toileting or
respiratory treatments should be given 3 to 4 times daily, not episodically (B and
D).
QUESTION: A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most important
instruction for the nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Master01 | Dec, 2024/2025 | Latest update
, 3
Menstrual periods may become irregular.
Ans: Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
QUESTION: What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting.
Ans: Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic
sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to the potential
for aspiration with frequent vomiting.
Master01 | Dec, 2024/2025 | Latest update
, 4
QUESTION: An infant is born with a ventricular septal defect (VSD)
and surgery is planned to correct the defect. The nurse recognizes
that surgical correction is designed to achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing
Ans: Prevent the return of oxygenated blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left
ventricle to the right ventricle (C). VSDs are acyanotic defects, which means that
no unoxygenated blood enters the systemic circulation (A and B). (D) is common
with Tetrology of Fallot, which is a cyanotic defect.
QUESTION: A 3-week-old newborn is brought to the clinic for follow-
up after a home birth. The mother reports that her child bottle
feeds for 5 minutes only and then falls asleep. The nurse
auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory
rate of 64 breaths per minute. What instruction should the nurse
Master01 | Dec, 2024/2025 | Latest update
